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Individual

KAYOKO JACKIE NAKAMURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1002 W FREMONT AVE, IDYLWOOD CARE CENTER, SUNNYVALE, CA 94087
(408) 739-2383
Mailing address
860 HILLWOOD DR, SAN JOSE, CA 95129-2201
(408) 861-0860

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
21301
CA

Other

Enumeration date
04/09/2012
Last updated
04/09/2012
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